NOTE: Please do not use this form for CREDIT CARD orders. If you wish to use a credit card call 1-800-2424-PSL (This number is for orders *only*). See "Help/Ordering Info..." within the game for much more information. ----------------------------------------------------------------------------- J I G S A W G L A M O U R O R D E R F O R M ----------------------------------------------------------------------------- Name _________________________________________________________________ Address ______________________________________________________________ City,State _______________________________ Zip ______________________ Country __________________________________ Phone __(________)____________________________________________________ v1.0 Distributed by Shareware . JIGSAW GLAMOUR CD-ROM Edition...................$41.00 Full Version plus 136 jigsaws on CD-ROM Must Add Shipping & Handling....................$ 4.00 (Checks payable to David P. Gray) TOTAL ENCLOSED..................................$45.00 IMPORTANT: A CD-ROM drive is required! MAIL TO: David P. Gray PO Box 333 Northboro, MA 01532, USA I obtained my copy of Jigsaw Glamour from:___________________________________ -----------------------------------------------------------------------------